Question 1

Sobriety High and Drug Court programs:
A) cost the same as regular educational programs and do not save society money in the long run.
B) cost the same as regular educational programs but save society money in the long run.
C) actually cost less than regular educational programs but do not save society money in the long run.
D) cost more than regular educational programs but save society money in the long run.

Accepted Answer

Sobriety High and Drug Court programs may cost more than regular educational programs due to the additional resources needed for counseling and monitoring. However, research has shown that these programs can reduce recidivism and ultimately save society money in the long run by reducing costs associated with incarceration and substance abuse treatment.

Question 2

"Alcoholism is a disease; you are an alcoholic for life, and you must stop drinking." The treatment favored by the person/group being quoted MOST likely is:
A) Alcoholics Anonymous.
B) psychodynamic therapy.
C) cognitive-behavioral therapy.
D) behavioral therapy.

Accepted Answer

The statement "Alcoholism is a disease; you are an alcoholic for life, and you must stop drinking" is a central belief of Alcoholics Anonymous (AA). AA is a well-known mutual support group that follows a 12-step approach to recovery from addiction. Their treatment approach is based on the disease model of addiction, which holds that addiction is a chronic, progressive, and relapsing brain disease that requires lifelong abstinence from drugs and alcohol. AA is a popular choice for people struggling with alcohol addiction and has been shown to be effective in helping people maintain sobriety.

Question 3

The purpose of an antagonist drug is to:
A) stimulate the client to care about becoming drug-free.
B) block or change the effect of an addictive drug.
C) reduce withdrawal effects as one goes off a drug.
D) provide a placebo effect to replace the drug effect.

Accepted Answer

An antagonist drug works by blocking or changing the effect of an addictive drug. This can help reduce cravings and prevent relapse in individuals recovering from addiction.

Question 4

A client receiving treatment for substance abuse keeps track of times the substance is used and develops strategies to deal with the substance when there is an opportunity to use it. The client is MOST likely receiving:
A) contingency management training.
B) aversion therapy.
C) relapse-prevention training.
D) Cognitive-Antagonist Training (CAT).

Accepted Answer

The client is developing strategies to prevent relapse and managing urges to use the substance, which is the focus of relapse-prevention training. Contingency management training involves providing incentives for desirable behaviors and aversion therapy involves creating unpleasant associations with the substance, which are not described in the scenario. Cognitive-Antagonist Training (CAT) is not a commonly used intervention for substance abuse treatment.

Question 5

A client being treated for alcohol abuse receives just enough of a drug called curare to produce temporary paralysis as that client takes a swig of beer. Presumably, sufficient pairings of paralysis and alcohol will reduce the client's desire for alcohol. This procedure is called:
A) covert sensitization.
B) contingency training.
C) relapse-prevention training.
D) aversion therapy.

Accepted Answer

The procedure described in the scenario is aversion therapy. It involves pairing an aversive stimulus (curare-induced paralysis) with a maladaptive behavior (drinking alcohol) to reduce the desire for that behavior. Covert sensitization involves pairing a maladaptive behavior with an imagined aversive consequence. Contingency training involves modifying the consequences of a behavior to increase or decrease its likelihood. Relapse-prevention training involves teaching individuals strategies to prevent or cope with relapse.

Question 6

Recent studies show that gender-sensitive programs for treating substance abuse:
A) may not be necessary; substance abusers of different genders have about the same physical and psychological reactions to drugs.
B) have some usefulness; substance abusers of different genders have the same physical, but different psychological, reactions to drugs.
C) have some usefulness; substance abusers of different genders have different physical, but the same psychological, reactions to drugs.
D) may be very useful; substance abusers of different genders have different physical and psychological reactions to drugs.

Accepted Answer

Recent studies suggest that gender-sensitive programs for treating substance abuse may be very useful because substance abusers of different genders have been found to have different physical and psychological reactions to drugs. This means that treatment approaches that take gender into account may be more effective at addressing the unique needs and experiences of male and female substance abusers.

Question 7

During a recent ambulance call, EMTs gave naloxone to a person who had injected an overdose of fentanyl, a synthetic opioid. This treatment is usually:
A) ineffective in treating opioid overdose.
B) ineffective in treating opioid overdose, although it weakens subsequent withdrawal symptoms.
C) effective in treating opioid overdose.
D) effective in treating opioid overdose, although it may make withdrawal symptoms more severe.

Accepted Answer

The answer of During a recent ambulance call, EMTs gave...

Question 8

According to reports about the effectiveness of the Sobriety High program, about what percent of those enrolled have mental health problems besides chemical dependency?
A) 30 percent
B) 60 percent
C) 90 percent
D) almost 100 percent

Accepted Answer

Reports indicate that about 90 percent of those enrolled in the Sobriety High program have mental health problems in addition to chemical dependency.

Question 9

Cocaine abusers on an inpatient ward earn rewards-and eventual release from the program-if they produce periodic urine samples that are free of the drug. The program they are in is a form of:
A) behavioral self-control training (BSCT).
B) contingency management.
C) relapse-prevention training.
D) detoxification.

Accepted Answer

The program described involves rewarding desired behavior (producing drug-free urine samples) through a contingency (release from the program). This is an example of contingency management, which is a behaviorally based treatment approach that uses positive reinforcement to reinforce desired behaviors. Behavioral self-control training focuses on teaching people coping strategies, relapse-prevention training focuses on identifying and avoiding high-risk situations associated with drug use, and detoxification involves removing drugs from the body and managing withdrawal symptoms.

Question 10

Jason, a recovering heavy drinker, has been trained to identify the situations that might cause him to drink and to be aware of when he should stop drinking. This approach is known as:
A) aversive therapy.
B) ego-control therapy.
C) relapse-prevention training.
D) behavioral self-control training.

Accepted Answer

Relapse-prevention training is a type of therapy that is aimed at helping individuals who are struggling with addiction to learn how to identify triggers that might cause them to relapse and to develop strategies for avoiding these triggers or managing them when they occur. This training often involves techniques such as cognitive-behavioral therapy, which helps individuals to develop coping skills and to change their negative thought patterns. In the context of addiction treatment, the goal of relapse-prevention training is to help individuals to maintain their sobriety over the long-term.

Question 11

What would those who support the Alcoholics Anonymous approach to treating alcoholism have to say about the cognitive-behavioral procedure called relapse-prevention training?
A) They would oppose relapse-prevention training because it does not require sobriety.
B) They would oppose relapse-prevention training because research shows it doesn't work very well.
C) They would support relapse-prevention training because it requires sobriety.
D) They would support relapse-prevention training because of the testimonial evidence of its effectiveness.

Accepted Answer

Supporters of Alcoholics Anonymous typically emphasize complete sobriety, whereas relapse-prevention training may not require immediate or complete abstinence, which could be a point of opposition for AA supporters.

Question 12

The use of methadone in drug maintenance programs is controversial because methadone:
A) use increases the risk of contracting AIDS.
B) costs more than $50 a day per person treated.
C) produces withdrawal that is sometimes more difficult than heroin withdrawal.
D) needs to be taken several times per day in a rigid schedule.

Accepted Answer

Methadone can produce withdrawal symptoms that are sometimes more difficult than heroin withdrawal. This is because methadone has a longer half-life than heroin, which means it stays in the body longer and withdrawal symptoms can last longer. This can make it difficult for people to stop using methadone and transition to drug-free living. The other options are not accurate as methadone does not increase the risk of AIDS, its cost varies depending on the program, and while it does need to be taken regularly, it is typically only once a day.

Question 13

One of the features of Alcoholics Anonymous is:
A) peer support.
B) residential services.
C) alcohol maintenance.
D) antagonistic medication.

Accepted Answer

Peer support is a key feature of Alcoholics Anonymous, where individuals come together in a group setting to share their experiences, provide emotional support, and hold each other accountable for their sobriety. This creates a sense of community and fosters a supportive environment for those struggling with alcohol addiction.

B, C, and D are incorrect because Alcoholics Anonymous does not provide residential services, promote alcohol maintenance, or use antagonistic medication as part of their program.

Question 14

Detoxification procedures may involve any of the following EXCEPT:
A) giving the client other drugs to reduce substance withdrawal symptoms during detoxification.
B) gradually reducing the dose of the substance the client uses.
C) initially increasing the substance dose to make the substance aversive.
D) both outpatient and "full service" inpatient detoxification options

Accepted Answer

Increasing the substance dose to make it aversive is not a typical detoxification procedure. The other options listed are commonly used in detoxification procedures, such as providing medication to ease withdrawal symptoms, gradually reducing the dose of the substance, and offering both outpatient and inpatient options.

Question 15

Jess thought she was taking an aspirin. But later when she had a glass of wine and became very nauseated she realized the pill was:
A) naloxone.
B) disulfiram.
C) naltrexone.
D) methadone.

Accepted Answer

Disulfiram is a medication commonly used in the treatment of alcohol addiction. It works by blocking the breakdown of alcohol in the body, causing a build-up of toxic byproducts that can make a person feel sick when they drink alcohol. The symptoms of disulfiram-alcohol reaction can include nausea, vomiting, headache, and flushing of the skin. Jess's experience of becoming nauseated after consuming alcohol suggests that she unknowingly took disulfiram instead of aspirin.

Question 16

The use of narcotic antagonists can be dangerous. This is based on their ability to initiate:
A) respiratory failure.
B) severe withdrawal.
C) neurological damage.
D) addiction to the antagonist.

Accepted Answer

Narcotic antagonists can precipitate severe withdrawal symptoms in individuals who are physically dependent on narcotics, making it important to monitor individuals closely during use. Respiratory failure is a potential risk associated with narcotic overdoses, not antagonists. Neurological damage and addiction to the antagonist are not major risks associated with their use.

Question 17

MOST evidence for the effectiveness of self-help programs comes from:
A) carefully monitored longitudinal studies.
B) laboratory experimentation and generalization of findings.
C) cross-sectional surveys of self-help program participants.
D) testimonials from those who have gone through such a program.

Accepted Answer

Most evidence for the effectiveness of self-help programs comes from testimonials from those who have gone through such a program, as these programs often lack rigorous scientific evaluation.

Question 18

Alcoholics Anonymous supports the belief that alcoholics should:
A) cease drinking entirely.
B) learn to stop after one drink.
C) be taught to drink more moderately.
D) admit that they are morally reprehensible for drinking.

Accepted Answer

Alcoholics Anonymous follows an abstinence-based approach, meaning that they believe that alcoholics should completely stop drinking in order to recover from their addiction. This is reflected in their famous saying, "One day at a time."

Question 19

Hanna goes to a meeting because her husband is an alcoholic who only occasionally can abstain from alcohol. The meetings with other people in similar situations helps her cope. She probably attends meetings of:
A) Al Anon.
B) Alcoholics Anonymous.
C) alcohol maintenance.
D) antagonistic medication.

Accepted Answer

Al Anon is a support group for family members and friends of alcoholics. It provides a safe and supportive environment for them to share their experiences, strength, and hope with each other, as well as to learn how to deal with the problems that come with living with an alcoholic. Al Anon is not a treatment program but is typically used as a complementary therapy to other treatment programs like Alcoholics Anonymous.

Question 20

In general, behavioral treatments for substance use disorders are more successful when:
A) the person receiving the therapy is highly motivated to continue.
B) the behavioral treatments are not combined with other forms of treatment.
C) the focus of therapy is strictly behavioral (not cognitive-behavioral).
D) initial attempts at contingency management have failed.

Accepted Answer

Motivation is a crucial factor in the success of behavioral treatments for substance use disorders. If the person is highly motivated to continue with therapy, they are more likely to engage in the behaviors required for success.

Quiz 12: Substance Use and Addictive Disorders

Sobriety High and Drug Court programs:

"Alcoholism is a disease; you are an alcoholic for life, and you must stop drinking." The treatment favored by the person/group being quoted MOST likely is:

The purpose of an antagonist drug is to:

A client receiving treatment for substance abuse keeps track of times the substance is used and develops strategies to deal with the substance when there is an opportunity to use it. The client is MOST likely receiving:

A client being treated for alcohol abuse receives just enough of a drug called curare to produce temporary paralysis as that client takes a swig of beer. Presumably, sufficient pairings of paralysis and alcohol will reduce the client's desire for alcohol. This procedure is called:

Recent studies show that gender-sensitive programs for treating substance abuse:

During a recent ambulance call, EMTs gave naloxone to a person who had injected an overdose of fentanyl, a synthetic opioid. This treatment is usually:

According to reports about the effectiveness of the Sobriety High program, about what percent of those enrolled have mental health problems besides chemical dependency?

Cocaine abusers on an inpatient ward earn rewards-and eventual release from the program-if they produce periodic urine samples that are free of the drug. The program they are in is a form of:

Jason, a recovering heavy drinker, has been trained to identify the situations that might cause him to drink and to be aware of when he should stop drinking. This approach is known as:

What would those who support the Alcoholics Anonymous approach to treating alcoholism have to say about the cognitive-behavioral procedure called relapse-prevention training?

The use of methadone in drug maintenance programs is controversial because methadone:

One of the features of Alcoholics Anonymous is:

Detoxification procedures may involve any of the following EXCEPT:

Jess thought she was taking an aspirin. But later when she had a glass of wine and became very nauseated she realized the pill was:

The use of narcotic antagonists can be dangerous. This is based on their ability to initiate:

MOST evidence for the effectiveness of self-help programs comes from:

Alcoholics Anonymous supports the belief that alcoholics should:

Hanna goes to a meeting because her husband is an alcoholic who only occasionally can abstain from alcohol. The meetings with other people in similar situations helps her cope. She probably attends meetings of:

In general, behavioral treatments for substance use disorders are more successful when: